LIFE IN THE END ZONE

LIFE IN THE END ZONE: A discussion of topical issues for anyone concerned with the final phase of life by Muriel R. Gillick, MD

September 09, 2018

Looking Ahead

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British researchers recently projected care needs of the very old.  We would do well to pay attention to their analysis—or, if we think Ame...
August 20, 2018

Hospital at Home?

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For years, I’ve been arguing that frail older patients are often better off being treated for acute medical problems at home than in the ...
August 12, 2018

Ove-Lite

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Think “A Man Called Ove,” Fredrik Backman’s bittersweet novel about a lonely man who tries repeatedly and unsuccessfully to commit suicide...
August 07, 2018

The Truth About Hospice

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Hospice is widely touted as the best form of care near the end of life. As a result, the proportion of people who are enrolled in hospice a...
July 29, 2018

Treatment for Alzheimer's or False Alarm?

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The most promising treatment of Alzheimer’s disease to date uses monoclonal antibodies to rid the brain of amyloid plaques. These plaques a...
July 23, 2018

The Right Way to Treat Cancer

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Kudos to Judith Graham of Kaiser Health News for yet again identifying a new development that has the potential to enormously affect the me...
July 16, 2018

Us or Them?

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Nearly 30 years have passed since Congress passed the Patient Self-Determination Act, enthroning advance care planning as an important part...
July 08, 2018

Where We Die

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Honoring patient preferences, which is shorthand for providing an approach to medical treatment consistent with what patients say they want...
June 28, 2018

MedPAC Speaks

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I once called MedPAC the most influential organization in the medical arena that most Americans have never heard of. That was in a blog pos...
June 25, 2018

Reforming Medicare: Enhancement or Evisceration?

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Recent reports indicate that Congress will try to slash Medicare in order to balance the budget—making older people and disabled people sho...
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